Individual provider · Type 1 NPI

Carli Shannon Botts, PA

Physician Assistant · Jamestown, TN

NPI number 1982554853 Active

Practice location

321 Central Ave E
Jamestown, TN 38556-4103

Mailing address

1034 Alderville Rd
Winfield, TN 37892-3687

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X7258 (TN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

About NPI 1982554853

Carli Shannon Botts, PA's National Provider Identifier is 1982554853, issued on Jan 30, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Jamestown, TN. The record was last updated on Oct 15, 2026.